Combination of Home Care Pharmacy Approach and Nurse’s Health Action Process Approach on Self Care Management and Self Efficacy in Elderly With Hypertension

Linda Juwita, Ninda Ayu Prabasari, Restry Sinansari

Abstract views = 640 times | views = 421 times


Introduction: There are still many hypertensive patients with uncontrolled hypertension and experiencing barriers to self-care. This study attempts to increase motivation and intention in self-care management and self-efficacy through the implementation combination of home pharmacy care approach and Health Action Process Approach (HAPA). This study aimed to know the combination of the Home Care Pharmacy Approach and Nurse's HAPA on self-care management and self-efficacy in the elderly with hypertension. Methods: It was a pre-experimental study that used one group pretest post-test design approach with the population, 60 people. Inclusion criteria were respondents with average blood pressure ≥140/90 mmHg for two measurements. The sampling used a purposive sampling technique. The independent variable was the HAPA and Home Care Pharmacy. The dependent variable is self-care management and self-efficacy. Study instruments are questionnaire self-efficacy, self-care management, standard operating procedures, and HAPA Home Care Pharmacy. Data were analyzed by using paired t-test and Wilcoxon Sign Rank Test with significance paired α ≤ 0.05. Results: Statistical paired t-test showed there was an increase in self-care management (p = 0.006). Statistical Wilcoxon Sign Rank Test showed there was no influence on the home pharmacy care approach and HAPA on self-efficacy (p=0.753). Conclusions: It could be concluded that the implementation of collaboration in-home pharmacy care approach and HAPA improves self-care management. However, these interventions do not affect increasing self-efficacy. The excellent collaboration between healthcare providers will help patients maintain good health during treatment.


health action process approach (hapa); home pharmacy care; hypertensive; self-care management; self-efficac

Full Text:



Baynouna, L. M. et al. (2014) ‘Audit of healthy lifestyle behaviors among patients with diabetes and hypertension attending ambulatory health care services in the United Arab Emirates’, SAGE JOURNAL, 21(4), pp. 44–51. doi: 10.1177/1757975914528248.

Findlow, J. W. and Seymour, R. B. (2012) ‘NIH Public Access’, J Natl Med Assoc, 103(6), pp. 503–512.

Han, H. R. et al. (2015) ‘NIH Public Access’, J Cardiosvasc Nurs, 29(3), pp. 1–16. doi: 10.1097/JCN.0b013e3182a3fd46.Development.

JNC (2003) Prevention , Detection , Evaluation , and Treatment of High Blood Pressure.

Kouta, C., Kaite, C. P. and Papadopoulos, I. (2015) ‘Evaluation of Home Care Nursing for Elderly People in Cyprus’, 8(2), pp. 376–384.

Kusnanto, Kurnia, I. D. and Prasetia, D. I. (2015) ‘Penerapan " Health Action Process Approach " Untuk Meningkatkan Kepatuhan Diet Penderita Dm Tipe 2 ( Implementation of " Health Action Process Approach " to Improve Dietary Adherence in, Jurnal Ners, 10(2), pp. 272–278.

Lestari, I. G. et al. (2018) ‘Pengaruh Self Management Terhaap Tekanan’, 02(01), pp. 7–18.

Nuraini, B. (2015) ‘Risk factors of hypertension’, 4, pp. 10–19.

Orem, D. E. (2001). N. C. of practice (6th E. ). 'Nursing: Concept of practice (6th Ed.). St. Louis: St. Louis.

Pakseresht, M. et al. (2010) ‘Awareness of chronic disease diagnosis amongst family members is associated with healthy dietary knowledge but not behaviour amongst Inuit in Arctic Canada’. doi: 10.1111/j.1365-277X.2010.01101.x.

Prabandari, I. (2014) ‘Fakultas ilmu kesehatan universitas muhammadiyah surakarta 2014’.

Prasetyo, A. S. (2012) ‘Fakultas ilmu keperawatan program magister ilmu keperawatan kekhususan keperawatan medikal bedah depok, juli 2012’.

Riegal, B. et al. (2010) ‘NIH Public Access’, J Cardiovasc Nurs, 24(6), pp. 485–497. doi: 10.1097/JCN.0b013e3181b4baa0.An.

Rilantono, L. L. (2015) Penyakit Kardiovaskular (PKV) 5 Rahasia. Jakarta: Badan Penerbit FKUI.

Schwarzer, R. et al. (2003) ‘On the Assessment and Analysis of Variables in the Health Action Process Approach : Conducting an Investigation’, pp. 1–18.

Schwarzer, R. (2008) ‘Modeling Health Behavior Change: How To Predict And Modify The Adoption And Maintenance Of Health Behaviors.’, Applied Psychology: An International Review, 57(1), pp. 1–29.

Setiawan (2008) Care Your Self, Hipertensi. Jakarta: PENEBAR PLUS.

Suryani, K. H. et al. (2012) ‘Pengaruh Konseling Obat dalam’, jurnal farm udayana, 2(3), pp. 6–11.

Triyanto, E. (2014) Pelayanan Keperawatan bagi Penderita Hipertensi secara Terpadu. Yogyakarta.: Graha Ilmu.

Utami, R. D. (2017) ‘Tingkat Kepatuhan Perawat’, Tingkat Kepatuhan Perawat, pp. 13–40.

WHO (2019) Hypertension. Available at:


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats